Reason Code 176 | Remark Code N592 - JA DME
Reason Code 176 | Remark Code N592
| Code | Description |
|---|---|
| Reason Code: 176 | Prescription is not current. |
| Remark Code: N592 | Adjusted because this is not the initial prescription or exceeds the amount allowed for the initial prescription. |
Common Reasons for Denial
- Prescription is not current
- Adjusted because this is not the initial prescription or exceeds the amount allowed for the initial prescription
Next Step
- A Redetermination request may be submitted with all relevant supporting documentation. Noridian encourages Redeterminations/Appeals be submitted using the Noridian Medicare Portal. Review applicable Local Coverage Determination (LCD), LCD Policy Article, and Documentation Checklists prior to submitting request
How to Avoid Future Denials
- Ensure a valid order is on file in the medical record
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